# JENNIFER L GLOCK PSYCHOLOGICAL CONSULTING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255606158
- **Authorized official:** JENNIFER GLOCK MA (OWNER)
- **Authorized official phone:** (904) 260-0218

## Contact information

- **Practice address:** 3715 SAN JOSE PL STE 1, JACKSONVILLE, FL 32257-8867
- **Practice address phone:** (904) 260-0218
- **Practice address fax:** (904) 880-0802
- **Mailing address:** 10232 SAN JOSE BLVD, JACKSONVILLE, FL 32257-6203
- **Mailing address phone:** (904) 260-0218
- **Mailing address fax:** (904) 292-1094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT604 | FL | Yes |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 03/13/2012